Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Other names
San Antonio State Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA GARNETT (PROGRAM SUPERVISOR)
(512) 913-1580
Entity
Organization
Contact information
Practice address
6711 S NEW BRAUNFELS AVE STE 100, SAN ANTONIO, TX 78223-3002
(210) 531-7724
(210) 531-7864
Mailing address
6711 S NEW BRAUNFELS AVE STE 100, SAN ANTONIO, TX 78223-3002
(210) 531-7724
(210) 531-7864
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
06055
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138706004
—
TX
01
—
2100955
PK
—
Enumeration date
08/09/2006
Last updated
11/17/2023
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